Provider Demographics
NPI:1952907180
Name:FAER, SARAH CASEY (PT, DPT)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:CASEY
Last Name:FAER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:CASEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1336 ARBORETUM WAY
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-3839
Mailing Address - Country:US
Mailing Address - Phone:508-887-1531
Mailing Address - Fax:
Practice Address - Street 1:500 W CUMMINGS PARK STE 2100
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6513
Practice Address - Country:US
Practice Address - Phone:781-305-4656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA24881225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist